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Rhode Island rates for HCPCS L5570

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.53 / $1,456.62 / $1,688.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,023.97 / $5,434.88 / $6,434.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,271.34 / $1,495.70 / $2,501.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.24 / $1,769.38 / $1,769.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.65 / $1,769.38 / $1,769.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.32 / $1,625.37 / $2,366.46